Cyber Time Games Join Form

Simply fill in the text areas with the required information and follow the instructions.

Login Information
Enter a chosen user name once and a password of you choice twice. For security reasons, there is a 6 character minimum for the password.
UserName Password Re-Enter
Password

 

Personal Information
Enter your first name, last name and birth-date. The birth-date should without spaces and seperators (ex.: 11091965 for November 9th, 1965)
First Name Last Name Birth-Date (MMDDYYYY)

 

Postal Information
Please enter your civil adress, specify a Province/State and Postal Code if it applies to you.
Street City Province/State
Country Postal Code/ZIP

 

Contact Information
You need to provide us with an e-mail adress so that we can reach you in case of complications and for the software's automated posts.
Email Adress
(required)		 Home Phone No
(With Area Code)		 Work Phone No
(With Area Code)

 

Make sure that all the fields are filled accuratly
and press the submit button below.

ALL FIELDS MUST BE FILLED IN CORRECTLY.
All information is kept strictly confidential.
Failure to accurately complete this form may
result in the termination of your account.

Account creation may take up to 2 minutes.
Please Stand By.

*Your 10% initial deposit bonus cannot be cashed out until you have
wagered 100% of your initial deposit.